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Individual

MS. CAROL DIANE JULIUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD LD

Contact information

Practice address
13307 MIAMI LN, CALDWELL, ID 83607-4701
(208) 455-5341
(208) 454-7722
Mailing address
13307 MIAMI LN, SOUTHWEST DISTRICT HEALTH, CALDWELL, ID 83607-4701
(208) 455-5341
(208) 454-7722

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
586636
133V00000X
Registered Dietitian
Primary
D-004
ID

Other

Enumeration date
07/26/2007
Last updated
03/08/2013
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